MARC TACK (DO) – Infectious Disease Physician, NPI 1376582015

MARC TACK (DO) is a healthcare provider. based in Kingston, New York. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 191978 (NY). The NPI Number for MARC TACK (DO) is 1376582015

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MARC TACK (DO)
NPI
1376582015
Phone
(845) 338-7140
Address
360 WASHINGTON AVE
Enumeration Date
6 June 2006
Last Update Date
8 July 2024

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
8453387140
Graduation Year
1990 (36 years ago)
PAC ID
0648374397
Group Practice PAC ID
2860384674
Professional Enrollment ID
I20070405000201
Address ID
NY124013702KI360XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

998 INFECTIOUS DISEASE in NY

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Provider Addresses for MARC TACK (DO)

  • Washington Avenue, Kingston, Ulster County, New York, 12401, United States

    KINGSTON, NY 124013702

    Phone: (845) 338-7140

    Fax: (845) 338-7141

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 197 Open Payments records for all available years, with a total value of $15,879.

Total Amount is formed as General ($15,879) + Research ($0) + Ownership ($0) = $15,879.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Insmed, Inc. ($9,599).

Total Amount

$15,879

General + Research + Ownership

Payments

197

Total payment records

General Amount

$15,879

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070405000201IInfectious DiseaseNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0878Injection, daptomycin, 1 mg115,26011$0
J0875Injection, dalbavancin, 5 mg10,40032$0
J0696Injection, ceftriaxone sodium, per 250 mg1,63212$0
J1335Injection, ertapenem sodium, 500 mg1,04031$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less85482$0
View full utilization report →

Insurance plans in this area (ZIP 12401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860384674View full group profile
NameSpecialtyState
Nurse PractitionerNY
Physician AssistantNY
Nurse PractitionerNY
Critical Care (Intensivists), Sleep Medicine, Internal MedicineNY
Internal MedicineNY
Internal Medicine, EndocrinologyNY
-NY
R H E U M A T O L O G YNY
Nurse PractitionerVA
R H E U M A T O L O G YNY

Reviews

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Frequently asked questions

Can I verify MARC TACK (DO) with an NPI only?
You can start verification with NPI 1376582015 for MARC TACK (DO), then check state licensing separately.
Can I rely on MARC TACK (DO) being an active provider?
As of the registry snapshot, MARC TACK (DO) is marked active.
What is MARC TACK (DO)'s primary classification?
Infectious Disease Physician is the headline specialty for MARC TACK (DO) here. Clinical services aligned with this taxonomy classification.
What area does MARC TACK (DO) serve?
MARC TACK (DO)'s listing highlights Kingston, New York; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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